NPI: 1194465856 · JERSEY CITY, NJ 07306 · Pediatric Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,231 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 161 | 160 | $6K | |
| D1351 | 254 | 61 | $5K | |
| D0120 | 162 | 161 | $4K | |
| D2392 | 51 | 29 | $3K | |
| D1206 | 107 | 107 | $3K | |
| D0251 | 55 | 54 | $1K | |
| D9230 | 52 | 50 | $1K | |
| D1208 | 58 | 57 | $1K | |
| D1353 | 63 | 18 | $590.00 | |
| D0603 | 107 | 106 | $585.00 | |
| D0272 | 45 | 45 | $430.00 | |
| D0220 | 56 | 56 | $235.00 | |
| D0230 | 47 | 47 | $168.00 | |
| D0274 | 13 | 13 | $156.00 |